The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
The right ventricle then pumps the blood back out of the heart into the lungs to be replenished with oxygen. Right-sided or right ventricular (RV) heart failure usually occurs as a result of left-sided failure. When the left ventricle fails, increased fluid pressure is, in effect, transferred back through the lungs, ultimately damaging the heart's right side.
Signs and symptoms of heart failure can include: 1  Chest pain. 2  Irregular or rapid heartbeat. 3  Shortness of breath on rest or upon exertion.  Fatigue, weakness and/or reduced ability to 1  exercise. Difficulty concentrating.  Swelling of the abdomen or legs, ankles and 1  feet. Persistent phlegmy cough (white or pink coloured) or wheezing.